Individual provider Active NPI

Ngozi Attracta Ochiora

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Holly, NJ
National Provider Identifier
1699349399
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01147800 Issued in NJ
Practice address
14 Randolph Dr
Mount Holly, NJ 08060-1105
Phone
(609) 267-1647
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01147800 NJ Primary

Addresses

Primary practice location

14 Randolph Dr
Mount Holly, NJ 08060-1105

Mailing address

14 Randolph Dr
Mount Holly, NJ 08060-1105
Phone (609) 267-1647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023003149 NJ Practitioner - Nurse Practitioner 5496101701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01147800NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Change Counseling Current Accepting new patients
Creative Change Counseling, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Creative Change Counseling CurrentSince Jul 1, 2023 Accepting new patients

Locations

322 E 5th St
Lakewood, NJ 08701
Phone (609) 577-4310

668 Main St
Lumberton, NJ 08048
Phone (609) 265-7865

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1699349399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RANDOLPH DR",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601105",
            "telephone_number": "609-267-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RANDOLPH DR",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601105",
            "telephone_number": "609-267-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHIORA",
        "first_name": "NGOZI",
        "middle_name": "ATTRACTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01147800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.